Abstract
The patients undergoing hemodialysis usually have several complications including restless leg syndrome, which is a neurological disorder characterized by uncomfortable sensation of paraesthesia in legs that subsequently causes involuntary and continuous movement of the lower limbs especially in night which can lead to; sleep disorder, anxiety, fatigue, depression, disturbance of ability to work and social isolation. Moderate exercise may be helpful in relieving restless leg syndrome. The aim of the study is to assess the effect of muscles stretching exercises on severity of restless legs syndrome of adult patients undergoing hemodialysis. A quasi-experimental design was utilized. Sample: 40 convenience adult patients diagnosed with renal failure and undergoing hemodialysis. Settings; Hemodialysis department in the Students Hospital Affiliated to Tanta University and Elmabra Hospital for Health Insurance. Data collection: Structured interview used to elicit data which comprises two tools; Tool 1: Health assessment tool which include Bio- Socio-demographic characteristics data; Tool 2: International Restless Legs Syndrome Rating Scale (IRLSRS). Data was collected through three phases; Assessment, implementation and evaluation phase through 20 weeks. Results: Indicated improvement of severity of restless leg syndrome symptoms of the study group post comparing to pre muscle stretching exercise. Conclusion: muscles stretching exercise plays an important role in reducing the severity of RLS symptoms of adult patients undergoing hemodialysis. Recommendation: Nurses has to be encouraged to help alleviate the severity of RLS symptoms by training muscle stretching exercises to the patients undergoing heamodialysis. Key wards: Muscle Stretching Exercises, Restless Legs Syndrome, Hemodialysis DOI : 10.7176/JHMN/68-10 Publication date : November 30th 2019
Highlights
Patients with end stage renal diseases required substitute treatments to survive
restless leg syndrome (RLS) is frequent among dialysis patients; it is often remains undetected because the symptoms may not be predictable as a classic clinical entity (Menezes and Andreia 2018)
The current study revealed that; there is a significant improvement in the Restless Legs Syndrome Rating Scale pre & post muscle stretching exercise of the study group
Summary
Patients with end stage renal diseases required substitute treatments to survive. Hemodialysis is one of the most widespread and effective treatments for those patients estimated as over 2 million worldwide. The patients undergoing hemodialysis usually have numerous complications which result from either the end stage of renal disease or the type of treatment. One of these complications is restless leg syndrome (RLS) that is accompanied with sensory and motor disorders of limbs, especially legs, (Shahgholian, Jazi, Karimian, &Valiani2016). Sifuentes, Teran, Martinez, Luevanos and Bellmann 2018 reported that; RLS has regularly been reported as a complication of end-stage renal disease, among patients undergoing hemodialysis. It is more common in chronic kidney disease patients than in the general population, but it is often diagnosed late and its predictors are unknown. RLS is frequent among dialysis patients; it is often remains undetected because the symptoms may not be predictable as a classic clinical entity (Menezes and Andreia 2018)
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